Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys fighting Medicare and Medicaid scams in Bossier City, Louisiana

Medicare and Medicaid fraud cost Louisiana taxpayers billions of dollars each year. While most medical service providers and drug companies are honest and work within the legal channels, there are those who do not. When fraud occurs, everybody can lose. Medicare and Medicaid whistleblower lawyers can assist people who work in the healthcare system to file suits on behalf of the government to help report this type of fraud.

The state and federal governments put a good deal of trust in pharmaceutical and medical service providers. When that trust is ill-placed, the government counts on regular folks in Louisiana to come forward to report fraud. People like you.

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Experienced Medicaid and Medicare whistleblower attorneys; representing health care employees in Bossier City, Louisiana

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the industry. understand that stepping forward is hard and lots of things might be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly examine your claim, diligently and carefully prepare your case, and work tirelessly with both you and the federal or state government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Bossier City, Louisiana

In Louisiana, the state false claims act is known as Louisiana Medical Assistance Programs Integrity Law. This law allows private citizens to file qui tam suits if they know of and evidence of healthcare scams on behalf of the state of Louisiana.

 

A qui tam or whistleblower claim entitles a person to bring a civil claim against those who commit fraud against the state medical assistance programs, such as the Medicaid program. Under the Medical Assistance Programs Integrity Law, bribes for recommendations for medical services reimbursed by Medicaid are likewise illegal.

 

In bringing a lawsuit, the whistleblower may be awarded between 15 and 25 percent of the state’s recovery should the state join the lawsuit. If the state declines to participate in and there is a recovery, the whistleblower may be granted in between 25 and 35 percent of the funds recovered.

 

Under the Louisiana Medical Assistance Programs Integrity Law, a whistleblower is afforded shield from any company retaliation that may arise from the claim.

Liability of the Defendant in Bossier City, Louisiana

The offender in the suit might be required to pay the state of Louisiana up to triple the amount of monetary damage to the state, in addition to penalties of between $5,000 and $11,000 per infraction.

Statute of Limitations in Bossier City, Louisiana

The whistleblower needs to submit their lawsuit within 10 years of the date that the offense occurred.

Working With an Experienced Whistleblower Lawyer

Those who have knowledge of deceitful activity in Bossier City, Louisiana have the ability to submit a whistleblower lawsuit on behalf of the state and collect a considerable reward under the Louisiana Medical Assistance Programs Integrity Law. If you have proof of fraud, we can assist. At Khurana Law Firm, we have more than 20 years of experience in complex litigation, whistleblower, and qui tam law throughout the country. Contact us for a confidential, no-cost assessment to discuss your rights and options under the law.

What is

Medicare Advantage Fraud

Medicare Advantage (MA) plans are privately run healthcare options offering Medicare-eligible individuals additional services that are not included in traditional Medicare. These organizations receive payment from Medicare for each of their members that vary according to their risk adjustment. Some Medicare Advantage organizations overestimate and exaggerate a member’s risk or a patient’s diagnoses to get higher payments from Medicare. They do this by:

Upcoding

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Chart reviews

The MA provider reviews charts to add additional diagnosis codes.

Chart mining

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Adding unsupported diagnosis

Coders are directed to add codes based on other information in the chart.

Not removing old diagnosis codes

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Sham RADV audits

The MA provider reviews charts to add additional diagnosis codes.

Incentivizing doctors

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Pre-filling charts

Coders are directed to add codes based on other information in the chart.

If you suspect Medicare Advantage Fraud, you are a healthcare worker in Bossier City, Louisiana, get in touch with us here.

Khurana Law Firm, P.C.
Medicare Fraud
Medicare Fraud is a Serious Problem

While there are no exact figures concerning Medicare fraud, we do know it is a huge problem. In the fiscal year 2020, the government recovered over $1.8 billion in civil and fraud claims relating to the healthcare industry. 

$ 0
Recovered only in 2020
YOU, the healthcare worker, provide the most vital role in combating Medicare abuse and fraud.

Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.

So what is Medicare Fraud?

Fraud, as it relates to Medicare, is when individuals or entities make false statements or representations to benefit themselves at the expense of the Medicare program. 

Who defrauds Medicare?

Medicare fraud can involve numerous individuals, organizations, and entities, including physicians and nurses, physician-owned groups, drug companies, home health providers, medical device providers, nursing homes, and others.

How do people and companies commit Medicare fraud?

Fraud and abuse come in many different forms from coding abuses, to kickbacks, to altering records, to organized crime infiltration. Each method benefits the abuser while costing taxpayers billions. 

What laws protect Medicare from fraudulent activity?

The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity. 

What government agencies protect against Medicare fraud?

Many government agencies strive to protect and promote the integrity of Medicare. These include the Centers for Medicare and Medicaid Services, Center for Program Integrity, US Department of Health and Human Services, and US Department of Justice, all attempting to keep Medicare fraud at bay. But they rely on people like YOU to be their eyes and ears.

How can I help?

If you see abuse and fraudulent activity you should report it. In some cases, you may even be entitled to a reward. If you are a healthcare worker in Bossier City, Louisiana,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Work With A NATIONALLY RECOGNIZED WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Bossier City, Louisiana

When you become aware of deceptive activity that may involve Medicare or Medicaid in Bossier City, Louisiana, you need the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is completely examined and submitted accurately and promptly. By dealing with an experienced lawyer you are increasing the chance that the federal or state government will intervene, therefore increasing the chance for a reward. Reporting Medicare and Medicaid fraud is a complex matter –  do not try to do this alone, we are here to help.

At Khurana Law Firm, P.C., we bring years of practical experience as national qui tam legal representatives to help in your fight against Medicare and Medicaid fraud. We will review your case on a confidential, no-obligation basis. If we believe that you may have a legitimate claim, we can represent you in a qui tam lawsuit to report the fraud and enable you to gather a reward. All whistleblower cases are on contingency, you pay nothing up until there is a recovery. Contact us today to learn how we can help.

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